Individual
FREDRIC HOWARD GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 OXFORD VALLEY RD, LANGHORNE, PA 19047-8304
(215) 949-5311
(215) 949-5317
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 807-8000
(215) 949-5317
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08301300
NJ
207L00000X
Anesthesiology Physician
MD-042377-L
PA
208VP0000X
Pain Medicine Physician
MD042377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015119460010
—
PA
01
—
0534094000
KEYSTONE IBC
PA
05
—
1511946
—
PA
01
—
23062MD042377L
HEALTH PARTNERS
PA
01
—
30070981
KEYSTONE MERCY
PA
01
—
616889
AETNA HMO
PA
01
—
698885
HIGHMARK BLUE SHIELD
PA
01
—
P00760072
RAILROAD MEDICARE
PA
Enumeration date
06/27/2005
Last updated
01/06/2023
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